Patient Care

A patient is said to have this if they are: Hot, dry, excessive thirst, rapid deep breathing.
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Terms in this set (200)
A patient is said to have this if they are: Hot, dry, excessive thirst, rapid deep breathing.
Hyperglycemia
A person having a hypoglycemic event will show some of the following signs.
Appear intoxicated, stumble, Excessive sweating, Hungry, Weak, Shaky, Confusion, irritability
During a nosebleed, what position should you guide the patient to be in?
Sitting up with the head slightly forward pinching the nose
How long can the brain be without oxygen before brain impairment could happen?
4-6 minutes
Hyperglycemia is a condition where there is too much of this in the blood.
sugar
If a patient is said to be alert and conscious, what can this patient do?
Can speak, open eyes and can respond to questions appropriately.
Many times a patient may become anxiolytic or experience an asthma attack while in the radiology department, what is a simple way to possibly calm a patient without the use of medication or cancelling the test?
Talk calm to the patient in a reassuring voice.
Name 4 signs and/or symptoms of shock
Restlessness, General anxiety, Tachycardia, Decreasing blood pressure
Syncope is a self-correcting, temporary state of shock which is the result of lack of blood flow to the brain. (T or F)
true
This condition is called bleeding outside of a vessel, what is its official name?
Hemorrhage
This is a condition where excessive insulin is present.HypoglycemiaThis type of shock is caused by sepsis, deep anesthesia or anaphylaxisVasogenicWhat does the acronym LOC stand for?Level of ConsciousnessWhat is a crash cart?A crash cart with emergency medication for emergenciesWhat is a situation called where the condition of a patient changes suddenly or their medical condition or status requires immediate action?EmergencyWhat is another name for a nosebleed?EpistaxisWhat is found in the radiology department that can cause Anaphylactic shock?Iodinated contrast mediaWhat is the name of the condition when patients sutures separate, allowing abdominal contents to spill out of the peritoneal cavity?DehiscenceWhat is the universal sign of chokingHolding your throat with one or both handsWhat is vertigo?DizzinessWhat type of shock is Anaphylactic shockVasogenicYour patients come to you in various states of stability or instability, what should you keep in mind when working with patients in emergency situations?Ensure an open airwayWhich of the following is NOT an indicator for a patient having a barium enema?rule out perforation of the bowelWhat is a Stoma?An opening from the bowel to the outside of the bodyWhat is the name of the position that you must place the patient in for insertion of the enema tip?SimsWhich of the following is NOT used for bowel prep prior to performing a barium enema?dehydration of the patientWhen transferring a patient who has a nasogastric tube in place, what would you do after the nurse removes it from the suction unit?Put the plug into the open end of the tube to prevent it from leaking, Make sure the tube is pinned to the patient's gown so it does not easily pullout from the nare, Assure it is ok to leave the patient off of suction until the procedure is completed.When viewing an x-ray of a barium, which of the following best describes the appearance?Barium is positive and white, air is negative and blackWhich of the following best describes the imaging of the colon and rectum using a flexible camera; usually performed by a gastroenterologist or surgeon?colonoscopyWhen a patients medical history includes "perforation of the bowl is suspected", the technologist should use which type of contrast for the enema?water-soluableHypovolemiccaused by loss of blood or tissue fluidcardiogeniccaused by multiply cardiac disordersNeurogeniccaused by spinal anesthesia or damage to the upper spinal cordVasogeniccaused by sepsis, deep anesthesia, or anaphylaxisAnaphylaxisspecific reaction caused by allergic reactions to contrast media, medicines, or foodAnother term for hives is ______________________.urticaria_______________ is a condition of excessive insulin, whereas ________________________ is a condition of excessive sugar in the blood.hypoglycemia; hyperglycemiaThe proper way to carry a heavy object is to:Hold the object as close to the center of gravity as possibleThis is a branch of physics that applies the laws of mechanics to living creaturesBiomechanicsThis is the foundation on which a body rests.Base of supportWhat is the hypothetical point at which all the mass appears to be Concentrated?Center of gravityWhere are mobility muscles found?LimbsStability muscles are found in the,TorsoWhich type of transfer requires a primary, stronger person to lift The Patients torso while the other person lifts the patients lower limbsTwo person liftWhat are the four types of wheelchair transfers?Standby Assist, Assisted Standing Pivot, Two Person Lift, Hydraulic LiftWhen lifting a patient, the technologist should,Stand with feet apart to increase the base of SupportAlways position a wheelchair patient so that they transfer towards the Weaker side.FalseWhen performing all wheelchair transfers what must you make sure you do before you perform the transfer?Remove the Chair arm if it is removable, on the side transferring to, assure that both footrests are removed or folded away, lock both wheelsFor a standby assist wheelchair transfer, how should you position the wheelchair?45° angle to the tableWhat should you use to help pivot transfer the patient to or from the radiology table.Use a transfer beltWhen performing a transfer that involves two or more technologists, someone has to be in charge of the move to assure a smooth transition of the patient to the table, cart, bed etc. Who is in charge of that movement?The person at the head of the patientHow would you move a supine patient that must be placed in a left Lateral position?Roll the patient toward you to the patients left and place sponges behind the Patient to help keep them in placeMrs. Eye wonder, age 37, was thrown from her horse yesterday and underwent surgery last night to repair her badly fractured ankle. Today she is brought to radiology on a stretcher for an abdominal CT to investigate a cause for her LUQ pain. Which of the following would be the safest transfer method to move her from her stretcher onto the CT table?Slide BoardWhat is orthostatic hypotension?A drop in blood pressure when a person stands upStability muscles are found in the torso and are large expanses of red muscle and provide postural support.TrueWhat can the radiologic technologist use to position a patient, as well as minimize the possibility of motion?Sponges, Tape, SandbagsRapport is,A relation of harmony between two personsVarious physical tools can be used to reduce the possibility of Motion, but one of the most effective means of reducing motion is?CommunicationA patient is lying on his right side with his shoulders and knees Superimposed. Which term. Describes this position?lateralCervical collarsCervical collars cannot be removed until a physician says it is ok and only by a nurse or DoctorA patient is lying on the table and his head is elevated, lying supine What position is this called?FowlersAll of the following are reasons to use immobilization except:Increase patient intimidationWhich of the following immobilization devices could be used for a chest x-ray of a 2 year old patient?Pigg-O-StatWhen imaging children, it best to gain their trust before the exam. This can be done by?Getting down to eye level with the child and talking to them. Rapport is established with kindness, patience. Honesty and UnderstandingWhich restraint device is the most effective andreliable method of immobilizing a child?The Mummy WrapWhen having to radiograph a geriatric person what is one of the patients greatest Concerns?fear of fallingYour patient needs to be positioned lying on their left side with the Right knee flexed and resting on the table in front of the left leg. What Is this position called?simsWhere is the center of gravity located in an adult?Approximately Sacral level 2Moving a patient quickly decreases the chance of dizziness or falling.falseThis is the clinical name for the direction of the x-ray beam from front to back.AnteriorposteriorLifting should be done by doing this.Keeping the back straight, and bending and straightening the kneesThese questions let the patient tell a story.Open EndedThis is called the "Music of language"ParalanguageWhenever possible, verbal communication with a patient should occur In this manner.Face to FacePatients exhibit a wide range of emotions, and the way the technologists Handle those emotions, relies on how well they understand not only the Emotions exhibited by their patients, but also how well they understand Their own. This is called what?Emotional IntelligenceA mature adults age is considered to be what age, which is something65 years or olderAn underage female comes to the department with her mother who Does not want to leave her daughter alone, you need to ask your patient If she could be pregnant and need and honest answer. What can you do To get the mother to leave the room?Ask the mother to step out while the daughter is changing then quickly ask the patient if she could be pregnantBefore the patient enters the changing room, you instruct her/him to Wear two gowns, one with the opening in the front, the other with the Opening in the back, this action describesA Tech that cares for the dignity of their patientWhile palpating a patient to ascertain where exactly there pain is Located, choose the best answer that would describe how to do this.Use one or two fingers and palpate the areas of least pain first then palpate the worst area of pain lastSubjective data pertains toData that pertains to or is perceived by the affected Individual onlyWhat do Radiologists want to know about patient History?Chief complaintObjective Data is,Perceptible to the senses, able to be measured Signs that can be seen, heard or feltGood communication skills are,Open endedWhat is the pneumonic that Elisabeth Kubler-Ross set for an acceptable sequence of events?DABDAWhat does the following statement mean " To stand tall in pediatrics, You have to get down on your knees"Getting down to a child's level, Speak to the child at their level, Talk in child terms appropriate for their ageWhich of the following scenarios would present a language barrier to communications?An upper GI series on a 21 year old male who is deafWhat nonverbal skill could be used to assist with communications With a patient who is blind?touchMany smells such as body odor, cigarette odor, perfume, cologne, Wrinkled or dirty clothing are all part of this,Personal hygieneUsing what part of your body could give a patient the impression youare being in-appropriate or making them feel uneasy during an exam?Palm of HandThe application of light pressure with fingers to areas of the body is called?PalpationParalanguage, Body language, touch, professional appearance, Physical Appearance, and visual contact are all examples of,Nonverbal communicationVerbal communication should always occur,Face to faceAs a technologist you will be asked if you "see anything" on the films that does not look right or if they "look ok". You tell them that "I am not a Radiologist, but it looks like something might be there". What is this called?DiagnosingPatients and family are always doing this when coming to your department for exams.Watching and listeningThis is someone who has been admitted to the hospital and occupies abed for more than 24 hours.InpatientThe highest level of Maslow's pyramid is titled,Self actualizationMaslow's Hierarchy of needs has how many levels?7While communicating with your patient you should use,Care and empathyThis is exhibited by technologists' patients as well as how the technologist understands their own.Emotional IntelligenceThis is a people oriented, hands on profession and requires numerous communication skills.Radiologic TechnologyAuscultationlistening to sounds within the bodybariumbulky, fine white powder, without odor or taste and free from grittiness; used as a contrast medium in radiography of the digestive tractbedpana shallow vessel used by a bedridden patient for defecation and urinationcolitisinflammation of the coloncolonoscopyendoscopic examination of the coloncolostomythe surgical creation of an artificial excretory opening between the colon and the body surfacedefecationelimination of fecesemesis basinkidney-shaped vessel for the collection of vomitusenemaa liquid injected or to be injected into the rectumenterostomal therapisthealth professional (usually a nurse) with special training and certification in the care of ostomies and related concernsflatusgas expelled through the anushydrationMaintenance of body fluid balanceloopogramThe radiographic evaluation of the small and large bowel that has been connected to the skin surface as a substitute for the urinary bladder with an ostomylow residue dietdiet that gives the least possible fecal residue, such as gelatin, sucrose, dextrose, broth, and ricelumenthe cavity or channel within a tube or tubular organNG tubetubes of soft rubber or plastic inserted through a nostril and into the stomach; for instilling liquid foods or other substances or for withdrawing gastric contentsostomateone who has undergone enterostomy or ureterostomyperineumregion between the thighs, bound in the male by the scrotum and anus and in the female by the vulva and anuspurgationcatharsis; relief of fecal matter affected by a catharticsigmoidoscopyvisual examination of the sigmoid colonstomaopening established in the abdominal wall by colostomy, ileostomy, and so forthurinalvessel or other receptacle for urinevirtual colonoscopyIt is performed on a multislice computed tomography (CT) scanner that takes up to 600 two-dimensional (2D) and three-dimensional (3D) images of the colon in approximately 30 secondsviscosityPhysical property of fluids responsible for resistance to flowauraa subjective sensation that precedes a seizure; it could be auditory, visual, or motor.AEDsdevice used for application of external electrical shock to extranormal cardiac rhythm and ratecardiac arestsudden stoppage of cardiac output and effective circulationcardiopulmonary resuscitation (CPR)artificial substitution of heart and lung action as indicated for cardiac arrest or apparent sudden death resulting from electric shock, drowning, respiratory arrest, and other causescerebrovascular accident (stroke)condition with sudden onset caused by acute vascular lesions of the brain; often followed by permanent neurologic damageemergencyunexpected or sudden occasion; an urgent or pressing needepistaxisnosebleedhemorrhageescape of blood from a ruptured blood vesselhyperclycemiaabnormally increased concentration of glucose in bloodHypoglycemiaabnormally low level of sugar in the bloodlethargyabnormal drowsinessnauseaunpleasant sensation in the stomach associated with a tendency to vomitpallorpalenessshockA condition in which the circulatory system fails to provide sufficient circulation to enable every body part to perform its function; also called hypoperfusion.syncopefaintingurticariavascular reaction, usually transient, involving the upper dermis, representing localized edema caused by dilatation and increased permeability of the capillaries and marked by the development of wheals; also called hivesventricular fibrillationdisorganized cardiac rhythmvertigodizzinessvomittingthe forceful ejection of stomach and intestinal contents (chyme) from the mouthwoundsbodily injuries caused by physical means with disruption of the normal continuity of structureswound dehiscenceseparation of the layers of a surgical wound; may be partial, or superficial only, or complete, with disruption of all layersof the following are viral infections EXCEPTtinea pedisWhen a disease is spread by an insect depositing the pathogen on or in a human, it is transmitted by what method?vectorWhich of the following is not a method of sterilization?hand washingChemical substances capable of killing pathologic microbes are termedbactericidalThe spread of infection via contaminated food referenced is spread byfomiteThe chain of infection consists ofhost, infectious microbe, mode of transmission, and reservoir.A few days after a stereotactic breast biopsy performed by a radiologist in a breast imaging center, the patient returns to her physician with an obvious infection at the incision site. This is an example of a(n)iatrogenic infectionIn a hospital setting, constant awareness is given to the simple fact that patients come to the hospital because they are sick and vulnerable to disease. With the current system of medical care, by the time patients come to the hospital setting for care, they are sicker than ever in the past. The most common nosocomial infection seen in hospital patients isurinary tract infections from Foley catheter insertions.A pathogen that requires contact precautions isMRSAAll of the following are effective methods of sterilization EXCEPTHand washingAll of the following situations would require aseptic techniques EXCEPTbarium enema examination.The goal of aseptic technique is toprotect the patient from infection and prevent the spread of pathogens and harmful microorganismsWhen establishing a sterile field using a sterile drape,all drape items must be clean and dry.The inflatable balloon portion of the Foley catheter is typically filled withsterile waterWhen opening and pouring sterile solutions,how the solution name and strength to another person before pouring.If you suspect the radiologist has contaminated his or her glove, which of the following should you do?the nonsterile person picks up the opened gown and hands it to the sterile personWhen gowning another person,Make the radiologist aware of the possible contamination immediately.The role of the imaging technologist during cardiac pacemaker studies is tooperate fluoroscopy for the physician as he or she guides the pacemaker into positionLyme disease is a condition caused by bacteria carried by deer ticks. The tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an infection bya vectorStreptococci and bacilli are classified as what type of microorganisms?bacteriaThe process of establishment and growth of a microorganism on or in a host is referred to asinfectionAny microorganism that causes disease ispathogenicAll of the following are related EXCEPTbacillusAfter an organism is infected and by the time symptoms of the infectious process manifest, several steps have taken place. These steps consist of1, 2, 4, and 7 onlyA disease spread by kissing is being transmitted by which of the following methods?direct contactWhich of the following is the most effective method for achieving medical asepsis?Frequent hand washingBy what method are pathogens spread when a person coughs or sneezes?dropletAt the conclusion of an interventional radiographic examination, the examination room is cleaned, and major components are wiped down with chemical disinfectants. By performing this important task, the radiographer is practicingmedical asepsisA nosocomial infection is aninfection acquired in a hospitalAll of the following are possible sources of nosocomial infection EXCEPTtransfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital.Two bloodborne pathogens of particular importance to hospital personnel arehepatitis B virus (HBV) and HIV.Biosafety in the medical imaging department includesall of the aboveThe single greatest measure that can be done to prevent the spread of infection isproper hand washing technique.A person who acts as a reservoir of pathogenic organisms is referred to as a carrier. An example of a carrier is afriend who appears to be healthy and shows no signs of sickness.Non sterile gloves should be used for all of the following instances EXCEPTan arteriogram with angioplastic catheter.When creating a sterile field, it is important for the imaging professional tokeep sterile gloves in sight and above the waist level.When opening and pouring sterile solutions removethe cap and place it on an unsterile surface with the topside down, hold the bottle with the label facing up to prevent fluids from staining the label.Which of the following statements is FALSE?Create sterile fields early in the morning while staff members are fresh and equipment is clean.When opening a sterile tray, your fingersmust never touch the inside of the tray.You are about to assist with a sterile procedure. In scrubbing for the procedure, it is important toBoth C and DWhen gowning and gloving for a sterile procedure, it is important to remember thatafter gowning, the front of the gown down to the waist, and the sleeves are considered sterile.When putting on a pair of sterile gloves using the self-gloving, open technique,the first glove is picked up by the inside cuff with one hand, being careful not the touch the outside of the glove.When performing dressing changes, it is important to remember thatall of the above are importantWhich of the following represents good sterile technique?When using a sterile setup, avoid bending and reaching over it.Which of the following should be examined before a sterile package is used?Expiration dateIf the sterility of an object is unknown, which of the following should be done?Consider the object unsterile and do not use it.Two people in sterile attire should pass each other in which of the following ways?Back to backWhen performing radiologic examinations on patients with chest tubes,all of the above are correct.The purpose of the inflatable balloon portion at the tip of the Foley catheter is tohold the catheter within the bladder.When handling a patient with a Foley catheter in place,avoid kinks in the tubing and keep the drainage bag lower than the bladder.When a Foley catheter system is inserted into a patient for an expected period of 4 to 6 weeks,a polyvinyl chloride catheter is used.You are working as a radiographer in a busy imaging department, late into the evening. You receive a request for a portable chest radiograph on a cardiac patient in the ICU. Your coworker comments that he just did a portable chest procedure on the same patient approximately 15 minutes earlier and questions why they are ordering another one so soon. The rationale for this next chest image would most likely bethe patient has a central venous line, and the physician wants to check the repositioning.When using a portable fluoroscopy C-arm in surgery,the image receptor and C-arm are draped with a snap cover for sterility.During surgical procedures using a portable C-arm, it is important to remember thatall of the above are important.When performing portable radiography on neonatal infants,aseptic techniques are especially important because of the infant's weak immune system.